This is a case presentation of a full-term newborn female who vomited her feedings and had a chest x-ray demonstrating opacification of the right hemithorax, coiling of the nasogastric tube in the proximal oesophagus, and air in the gastrointestinal tract. The infant underwent three procedures which included: 1. gastrostomy: 2. a left thoracotomy with division of a double tracheo-oesophageal atresia: 3. division of an oesophagobronchial fistula and right pneumonectomy.